Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,235.94 / $7,762.47	Facility		$724.44	$3,235.94	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $3,981.07 / $6,760.83	Facility	50	$2,238.72	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,318.26	Professional		$416.87	$630.96	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $776.25 / $2,570.40	Professional	50	$77.62	$776.25	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $9,120.11	Facility		$2,951.21	$3,548.13	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $933.25	Professional		$489.78	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,000.00	Professional		$457.09	$660.69	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $741.31 / $2,398.83	Professional		$398.11	$741.31	$2,398.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $707.95	Professional		$512.86	$524.81	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $954.99	Professional		$436.52	$575.44	$954.99